Chiropractic Technician

​Additional Resources

Other Forms

Statutes and Administrative Code

Continuing Education Information

Offenses that May Result in Refusal, Bar, or Termination of Licensure

Related Links

Chiropractic Examining Board

Orders and Disciplinary Actions

Conviction Self Report

Professional Assistance Procedure

Monitoring

File a Complaint

Wisconsin Emergency Assistance Volunteer Registry (WEAVR)

Predetermination

Pursuant to 2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out Form 3085 and submit all required documentation specified on the form. Pursuant to Wis. Stat. § 111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.


License Information

Fee Reduction

Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or be low 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website prior to submitting Form 3217.

Per Wis. Stat. § ​440.08(2), the required renewal date for the Chiropractic Technician credential is 12/14/even years.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.  


Pre-Credential Education Information

Completion of a 48‑hour course from a Board approved course provider in relation to the practice of a Chiropractic Technician.

Form 3058OEE - Request For Approval of a Chiropractic Radiological Technician or Chiropractic Technician License Pre-Certification Course of Study


Application for Licensure

FormDescription
2884Application for Chiropractic Technician
​3217
​Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #2884.)
2883

Certificate Course Completion Chiropractic Technician

2829

Malpractice Suits or Claims Form (If applicable)
​3085​Application for Predetermination (Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal, state, or local law, including municipal ordinances, in this state or any other)

2252

​Convictions and Pending Charges

3071

​Fax Payment Form

Renewal Information

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG  (Signature regarding the completion of Continuing Education, see Continuing Education Information, included in on-line renewal and paper form)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

Renewal Methods

FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education​ requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewa​l Extension Form R210 for further information.